Your Choice 2-Tier Hospital Tiering Effective January 1, 2014
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Emergency Behavioral Health Services
ALERT #24 ___________________ October 5, 2007 EMERGENCY BEHAVIORAL HEALTH SERVICES POLICIES AND PROCEDURES FOR EMERGENCY SERVICES PROGRAMS AND HOSPITAL EMERGENCY DEPARTMENTS FOR MBHP MEMBERS AND UNINSURED CONSUMERS The following information should be communicated immediately to other appropriate staff in your organization. The Massachusetts Behavioral Health Partnership (MBHP) is the company that manages behavioral health (mental health and substance abuse) services for MassHealth’s Primary Care Clinician (PCC) Plan Members*. Additionally, MBHP is contracted with the Department of Mental Health to manage most of the Emergency Services Programs (ESPs) across the Commonwealth. In that role, MBHP is issuing this Alert to hospital Emergency Departments (EDs), MBHP network providers, and other interested stakeholders in order to provide clarification and guidance relative to the management of behavioral health emergencies in the ED setting. More specifically, this Alert delineates the roles and responsibilities of the Emergency Services Programs (ESPs) and describes an individual’s progression through this system, with a goal of expediting his or her movement through the hospital ED and into acute behavioral health services, as medically necessary. ESPs function as a “safety net” for all citizens of the Commonwealth regardless of age, payer, or ability to pay. It is important to note that the policies and procedures in this Alert applies to those populations for whom the ESPs are contracted with MBHP to serve, which includes MBHP members, MassHealth (non-MCO enrolled) Members, uninsured consumers, and DMH consumers. However, it is also important to note that MassHealth also requires the four Managed Care Organizations (MCOs) contracted with MassHealth to utilize the ESP system for emergency behavioral health services for MassHealth MCO enrolled Members. -
Baystate Health
Baystate Health Baystate Teaching Hospital Wing Community-High Public Payer Physician Organization Baystate Franklin Health Plan Images are sized based on Baystate Medical Center Health New England the entity's portion of operating revenue within their health system. Image size is not comparable between systems. Baystate Medical Practice Operating Net Assets in Profit (Loss) Operating Revenue in Total Margin Millions in Millions Margin Millions Hospital Health System* Baystate Health $2,381.6 $1,101.8 $68.1 2.2% 2.8% Acute Hospital Baystate Franklin Medical Center $102.7 $53.2 $0.6 0.4% 0.6% Baystate Medical Center $1,296.2 $827.7 $99.8 6.6% 7.6% Baystate Noble Hospital $58.4 $16.8 $1.2 2.0% 2.0% Baystate Wing Hospital $85.6 $50.2 ($4.4) -5.7% -5.1% Physician Organization Baystate Medical Practice $307.4 ($43.6) -14.2% -14.2% Baystate Westfield Medical Corporation $12.5 ($5.4) -43.4% -43.4% Health Plan Health New England $833.9 $12.3 1.6% 1.5% * Table includes only the system's affiliated acute hospitals, physician organizations, and health plans. System totals may also include non-acute hospitals, other health care providers, other owned organizations, and consolidating eliminations. www.chiamass.gov CENTER FOR HEALTH INFORMATION AND ANALYSIS | www.chiamass.gov CHIA Berkshire Health Systems Community-High Public Payer Physician Organization Images are sized based on the entity's portion of Berkshire Medical Center Fairview Hospital operating revenue within their health system. Image size is not comparable between systems. Berkshire Faculty -
Lawrence General Hospital
Massachusetts Hospital Payment Variation 2015 2016 Share of # Hospital Relative Relative Commercial MA Acute Hospital Commercial Relative Price (Weighted Average 2016) Price Price Payments Statewide Results Published By CHIA February 2018 1 Baystate Noble 0.681 0.682 0.2% Baystate Noble Hospital 2 Holyoke Medical Center 0.722 0.728 0.2% Holyoke Medical Center 3 Lawrence General 0.754 0.736 0.4% Lawrence General Hospital 4 Anna Jaques 0.756 0.743 0.5% Anna Jaques Hospital 5 Baystate Wing 0.749 0.752 0.2% Baystate Wing Hospital 6 Cambridge Health Alliance 0.797 0.754 0.6% Cambridge Health Alliance 7 BIDH - Milton 0.760 0.757 0.4% Beth Israel Deaconess- Milton 8 Massachusetts Eye & Ear 0.833 0.760 Massachusetts Eye & Ear 9 Heywood Hospital 0.752 0.763 0.4% Heywood Hospital 10 Signature Brockton 0.785 0.787 0.7% Signature Brockton Hospital 11 Mercy Medical Center 0.806 0.796 0.6% Mercy Medical Center 12 HealthAlliance 0.781 0.804 0.4% HealthAlliance Hospital 80% of Average 13 Emerson 0.846 0.824 1.1% Emerson Hospital 14 Steward Morton 0.855 0.837 0.4% Steward Morton Hospital 15 Milford Regional 0.840 0.840 1.1% Milford Regional Medical Center 16 Lowell General 0.822 0.850 1.6% Lowell General Hospital 85% of Average 17 Northeast Beverly 0.867 0.851 1.3% Northeast Hospital 18 MetroWest 0.856 0.853 1.0% MetroWest Medical Center 19 Steward Holy Family 0.859 0.857 0.7% Steward Holy Family Hospital 20 Winchester Hospital 0.892 0.865 1.6% Beth Israel Deaconess - Plymouth 21 BIDH - Plymouth 0.861 0.865 0.8% Winchester Hospital Underpaid Hospitals -
Community Hospitals at a Crossroads: Findings from an Examination of the Massachusetts Health Care System
COMMONWEALTH OF MASSACHUSETTS HEALTH POLICY COMMISSION Community Hospitals at a Crossroads: Findings from an Examination of the Massachusetts Health Care System March 2016 About the Health Policy Commission The Health Policy Commission (HPC) is an independent state agency established through Chapter 224 of the Acts of 2012, the Commonwealth’s landmark cost-containment law. The HPC, led by an 11-member board with diverse experience in health care, is charged with developing health policy to reduce overall cost growth while improving the quality of care, and monitoring the health care delivery and payment systems in Massachusetts. The HPC's mission is to advance a more transparent, accountable, and innovative health care system through independent policy leadership and investment programs. The HPC’s goal is better health and better care at a lower cost across the Commonwealth. II | HEALTH POLICY COMMISSION Community Hospitals at a Crossroads: Findings from an Examination of the Massachusetts Health Care System Introduction 2 Executive Summary 5 Section I. Definitions, Data Sources, and Methods 11 Section II. Background: Community Hospitals in Massachusetts 14 Section III. The Value of Community Hospitals to the Massachusetts Health Care System 22 Section IV. Challenges Facing Community Hospitals 35 Section V. From Community Hospitals to Community Health: Building a Path to a Thriving Community-Based Care System 68 COMMUNITY HOSPITALS AT A CROSSROADS | 1 Introduction Massachusetts has been a national leader in ensuring access to high quality health care for its residents and, with the passage of the Commonwealth’s landmark 2012 health care cost containment law, Massachusetts took significant steps to again lead the nation in efforts to slow the growth of health care costs. -
Wayfair Preferred (Narrow) Network Plan Hospitals
Wayfair Preferred (Narrow) Network Hospitals Hospital Name City State Addison Gilbert Hospital Gloucester MA Anna Jaques Hospital Newburyport MA BayRidge Hospital (acute psychiatric hospital) Lynn MA Beth Israel Deaconess Medical Center—Boston Boston MA Beth Israel Deaconess Hospital—Milton Milton MA Beth Israel Deaconess Hospital—Needham Campus Needham MA Beth Israel Deaconess Hospital—Plymouth Plymouth MA Beverly Hospital Beverly MA Boston Children’s Hospital Boston MA Boston Medical Center Boston MA Brigham and Women’s/Mass General Health Care Center at Patriot Place Foxborough MA Cambridge Health Alliance—Cambridge Campus Cambridge MA Cambridge Health Alliance—Somerville Campus Somerville MA Cambridge Health Alliance—Whidden Campus Everett MA Carney Hospital Dorchester MA Clinton Hospital Clinton MA Cooley Dickinson Hospital Northampton MA Emerson Hospital Concord MA Faulkner Hospital Jamaica Plain MA Good Samaritan Medical Center Brockton MA HealthAlliance Hospitals—Burbank Campus Fitchburg MA HealthAlliance Hospitals—Leominster Campus Leominster MA Heywood Hospital Gardner MA Holyoke Medical Center Holyoke MA Lahey Hospital and Medical Center Burlington MA Hospital Name City State Lahey Medical Center Peabody MA Lawrence General Hospital Lawrence MA Lawrence Memorial Hospital Medford MA Lowell General Hospital (includes the campus Lowell MA formerly known as Saints Medical Center) Massachusetts Eye and Ear®´ Infirmary Boston MA Mass General/North Shore Center for Outpatient Care Danvers MA Melrose-Wakefield Hospital Melrose MA Mercy -
Health Care System ACUTE INPATIENT HOSPITALS
A B C D E 1 ACUTE INPATIENT HOSPITALS PARTICIPATING IN MASSHEALTH (June 2021) Has Inpatient 2 Health Care System Acute Inpatient Hospital Town Psychiatric Unit? 3 Beth Israel Lahey Health Anna Jaques Hospital Newburyport X 4 Heywood Healthcare Athol Hospital Athol 5 Baystate Health Baystate Franklin Medical Center Greenfield X 6 Baystate Health Baystate Medical Center Springfield X 7 Baystate Health Baystate Noble Hospital Westfield X 8 Baystate Health Baystate Wing Hospital Palmer X 9 Berkshire Health Systems Berkshire Fairview Hospital Great Barrington 10 Berkshire Health Systems Berkshire Medical Center Pittsfield X 11 Beth Israel Lahey Health Beth Israel Deaconess Hospital - Milton Milton 12 Beth Israel Lahey Health Beth Israel Deaconess Hospital - Needham Needham 13 Beth Israel Lahey Health Beth Israel Deaconess Hospital - Plymouth Plymouth X 14 Beth Israel Lahey Health Beth Israel Deaconess Medical Center Boston X 15 Beth Israel Lahey Health Beverly Hospital (aka Northeast Health) Beverly X 16 Boston Children's Hospital Boston X 17 Boston Medical Center Boston 18 MassGeneralBrigham Brigham & Women's Hospital Boston 19 MassGeneralBrigham Brigham and Women's Faulkner Hospital Boston X 20 Cambridge Health Alliance Cambridge Hospital Cambridge X 21 Cape Cod Healthcare Cape Cod Hospital Hyannis X 22 Steward Health Care Carney Hospital Boston X 23 MassGeneralBrigham Cooley Dickinson Hospital Northampton X 24 Dana Farber Cancer Institute Boston 25 Emerson Hospital Concord X 26 Cambridge Health Alliance Everett Hospital Everett X 27 Cape -
Hospital List
Medical facilities HHCS 2 ACA – Direct Care HMO network facilities Network hospitals – Massachusetts Massachusetts Eye and Ear Infirmary, Boston Addison Gilbert Hospital, Gloucester MetroWest Medical Center, Framingham Anna Jaques Hospital, Newburyport Milford Regional Medical Center, Milford Athol Hospital, Athol Mount Auburn Hospital, Cambridge Beth Israel Deaconess Hospital, Milton New England Baptist Hospital, Boston Beth Israel Deaconess Hospital, Plymouth Newton-Wellesley Hospital, Newton Beverly Hospital, Beverly Saint Luke’s Hospital, New Bedford Brigham and Women’s Faulkner Hospital, Boston Saint Vincent Hospital, Worcester Charlton Memorial Hospital, Fall River Signature Healthcare Brockton Hospital, Brockton Emerson Hospital, Concord South Shore Hospital, Weymouth Harrington HealthCare at Webster Tobey Hospital, Wareham Harrington Hospital, Southbridge Tufts Medical Center, Boston Heywood Hospital, Gardner UMass Memorial HealthAlliance—Clinton Hospital, Clinton Lahey Hospital & Medical Center, Burlington UMass Memorial HealthAlliance—Clinton Hospital, Burbank Lahey Medical Center, Peabody Campus, Fitchburg Lawrence General Hospital, Lawrence UMass Memorial HealthAlliance—Clinton Hospital, Lowell General Hospital—Main Campus, Lowell Leominster Campus, Leominster Lowell General Hospital—Saints Campus, Lowell UMass Memorial—Marlborough Hospital, Marlborough Marlborough Hospital, Marlborough Winchester Hospital, Winchester As a Fallon Health member with HHCS 2 ACA Direct Care, you have access to a unique benefit called the Peace -
EMERGENCY CARE HOSPITALS by City
EMERGENCY CARE HOSPITALS By City You can go to any hospital listed below for emergency care. You do not need a referral. Your provider will make plans for you to go to one of our participating hospitals when you need to for all other care. Emergency care hospitals are open 24 hours a day, seven days a week. ATHOL Massachusetts General CONCORD Athol Memorial Hospital Hospital Emerson Hospital 2033 Main St. 55 Fruit St. 133 Old Road to Nine Acre Athol, MA 01331 Boston, MA 02114 Corner (978) 249-3511 (617) 726-2000 Concord, MA 01742 ATTLEBOROUGH New England Medical Center (978) 369-1400 Sturdy Memorial Hospital 750 Washington St. EVERETT 211 Park St. Boston, MA 02111 Whidden Memorial Hospital Attleboro, MA 02703 (617) 636-5000 103 Garland St. (508) 236-8111 St. Elizabeth’s Medical Center Everett, MA 02149 AYER 736 Cambridge St. (617) 389-6270 Deaconess-Nashoba Hospital Boston, MA 02135 FALL RIVER 200 Groton Ave. (617) 789-3000 Charlton Memorial Hospital Ayer, MA 01432 BROCKTON 363 Highland Ave. (978) 772-0200 Brockton Hospital Fall River, MA 02720 BEVERLY 680 Centre St. (508) 679-3131 Beverly Hospital Brockton, MA 02302 St. Anne’s Hospital 85 Herrick St. (508) 941-7000 795 Middle St. Beverly, MA 01915 Caritas Good Samaritan Fall River, MA 02721 (978) 922-3000 Hospital (508) 674-5741 BOSTON 235 North Pearl St. FALMOUTH Beth Israel-Deaconess Brockton, MA 02301 Falmouth Hospital Medical Center (508) 427-3000 100 Ter Heun Dr. 330 Brookline Ave. BURLINGTON Falmouth, MA 02540 Boston, MA 02215 Lahey Clinic (508) 548-5300 (617) 667-7000 41 Mall Rd. -
Curtis Penney, DO
Curtis W. Penney, D.O. Diplomate, American Board of Psychiatry and Neurology (Neurology) 4285 Coventry Drive South Fargo, North Dakota 58104 Telephone: 701-205-0390 Cell: 701-446-7691 Curriculum Vitae Education Academic Preparation: Doctor of Osteopathy (D.O.) University of New England College of Osteopathic Medicine Hills Beach Road Biddeford, Maine 04005 (Programme: 1989-1993) Doctor of Ministry (D.Min.) Department of Psychology Andover Newton Theological School 210 Herrick Road Newton Centre, Massachusetts 02159 (Programme: 1980-1982) Doctoral Degree awarded in Psychology and Clinical Studies Doctoral Dissertation entitled: “The Role of Language from a Psychological and Theological Perspective: Understanding the Pastoral Counselor as Psychologist and Theologian” Master of Divinity (M.Div.) Andover Newton Theological School 210 Herrick Road Newton Centre, Massachusetts 02159 (Programme: 1974-1978; concentration in Psychology Bachelor of Arts (B.A.) Eastern Nazarene College 21 E. Elm Avenue Wollaston, Massachusetts 02170 (Programme: 1969-1973; major in Psychology) Post-graduate Medical Training: Internship: Internal Medicine (Preliminary Year) Department of Medicine Carney Hospital 2100 Dorchester Avenue Boston, Massachusetts 02124 (PGY I: 1993-1994) Dr. Curtis W. Penney Page 2 Residency in Neurology: Neurological Unit Boston City Hospital 818 Harrison Avenue 02118 (PGY II, III and IV; Chief Resident in Neurology: 1996-1997) Residency completed in Association with: Department of Neurology St. Elizabeth’s Medical Center Boston, Massachusetts -
Fy 2018 Massachusetts Hospital Profiles Technical Appendix January 2020
CENTER FOR HEALTH INFORMATION AND ANALYSIS FY 2018 MASSACHUSETTS HOSPITAL PROFILES TECHNICAL APPENDIX JANUARY 2020 Publication Number 20-30-CHIA-02 CHIA FY18 Massachusetts Acute Care Hospitals (January 2020) TECHNICAL APPENDIX Table of Contents Introduction ....................................................................................................................................................................................... 2 Multi-Acute Hospital System Affiliation and Location ................................................................................................................... 3 Regional Definitions ..................................................................................................................................................................... 4 Special Designations.................................................................................................................................................................... 6 Hospital Types ............................................................................................................................................................................. 7 At a Glance ....................................................................................................................................................................................... 9 Acute Hospital Profiles: Services ................................................................................................................................................... -
Atrius Health 2019 Participating Providers by Tier
Atrius Health 2019 Participating Providers by Tier Atrius Health St. Vincent Hospital Exeter Hospital Miriam Hospital Ambulatory Surgery and Laser Center Winchester Hospital Franklin Regional Hospital Newport Hospital of Cape Cod Frisbie Memorial Hospital Rhode Island Hospital (including Non-Preferred hospitals Huggins Hospital Hasbro Children’s Hospital) Boston Endoscopy Center (ONLY AVAILABLE ON CHOICE POS) Boston Eye Surgery & Laser Center – Lakes Region General Hospital Roger Williams Medical Center West Massachusetts Littleton Regional Hospital South County Hospital St. Joseph’s Hospital Boston Eye Surgery and Athol Memorial Hospital Mary Hitchcock Memorial Hospital Westerly Hospital Laser Center, Inc. Baystate Franklin Medical Center Monadnock Community Hospital Women and Infants Hospital Boston Out-Patient Surgical Suites Baystate Medical Center New London Hospital Cape Cod Eye Surgery and Parkland Medical Center Baystate Noble Hospital Vermont Laser Center Baystate Wing Hospital Portsmouth Regional Hospital Cataract & Laser Center, Inc. Brattleboro Memorial Hospital Berkshire Medical Center Southern NH Medical Center Charles River Endoscopy, LLC Central Vermont Medical Center Boston Medical Center Speare Memorial Hospital Dedham Medical Associates Gifford Medical Center Brigham and Women’s Hospital St. Joseph Hospital East Pond Enterprises, Inc. Grace Cottage Hospital Brockton Hospital, Inc. The Cheshire Medical Center Eastern Massachusetts Mt. Ascutney Hospital Cape Cod Hospital The Memorial Hospital Surgery Center, LLC and Health -
Low Price Hospitals
Health Policy Commission Public Hearing Modification of the 2018 Health Care Cost Growth Benchmark Wednesday, March 8, 2017, 1:00pm 50 Milk Street, 8th Floor Boston, MA 02109 Testimony Steward Health Care System From 2013-2015, The Highest Priced Hospitals Experienced Significant Growth in Inpatient Discharges While Low Priced Hospitals Lost Volume, Yet Remained Efficient Highest Price Hospitals Low Price Hospitals 317,000 2013-2015 488,000 2013-2015 316,305 486,042 316,000 486,000 + 4,143 - 8,973 484,000 315,000 482,000 314,000 480,000 313,000 478,000 312,162 477,069 312,000 476,000 311,000 474,000 310,000 472,000 2013 2015 2013 2015 17 Hospitals with Avg. 46 Hospitals with Price of 1.4 Avg. Price of 1.0 Source: CHIA Inpatient Case Mix Data 2013-2015, CHIA Relative Price 2014 Note: Highest Priced hospitals are defined as those with the 75% highest Relative Prices in 2014 On Average, Every Discharge That Takes Place at a High Price Provider Costs the System Over $9,000 More Than If It Took Place At A Low Price, High Quality Provider $25,000 Weighted Average WAPR $22,491 $20,000 $15,000 $13,265 $10,000 $5,000 $0 High Price Low Price Boston Hospitals Account for Nearly Half of All Hospital Commercial Reimbursements Boston Teaching Beth Israel Deaconess Medical Center Share of Commercial Payments by Payer Brigham and Women's Hospital Massachusetts General Hospital Tufts Medical Center 2014 Boston Medical Center Boston Children's Hospital Dana-Farber Cancer Institute Massachusetts Eye and Ear Infirmary Brigham and Women's Faulkner Hospital